Licensing planning guide

Wisconsin med spa
licensing guide.

Delegated medical procedures in cosmetology establishments.

Prepared by Prospyr · Sources checked September 15, 2026

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What to know in Wisconsin

Start with these state-specific findings, then use the checklist below to review the rest of your practice. The linked authorities explain the conditions and exceptions behind each point.

01

Cos 2 contains a delegated-medical-procedures framework

The DSPS rules directory links Chapter Cos 2, including §2.025 on delegated medical procedures. Review that provision for physician direction, supervision and inspection when a cosmetology licensee performs covered medical procedures.

Source: Wisconsin DSPS: Cosmetology, Aesthetics, Manicuring and Electrology rules
02

Do not use a proposed rule as an adopted requirement

Wisconsin has circulated proposed changes affecting training and delegated procedures. Confirm the effective text linked by DSPS before relying on a draft’s added treatments, training criteria or chemical-peel thresholds.

Source: Wisconsin DSPS: Cosmetology, Aesthetics, Manicuring and Electrology rules

Your next steps

  1. Use the currently effective Cos 2.025 text to map each service and the physician’s responsibilities.
  2. Retain evidence of required education and distinguish a cosmetology-based delegated service from separately licensed nursing or medical practice.

Questions to resolve before opening

  • Is this treatment covered by Cos 2.025, and which current training exception or restriction applies?
  • Have any proposed changes become effective before the planned launch or renewal date?

Bring your actual ownership chart, service menu, devices and staff credentials to the relevant board or healthcare counsel. The same answer may not apply to a different procedure or business model.

A practical licensing checklist

These planning steps complement the Wisconsin highlights. They are a workflow for investigation, not a claim that every listed permit applies to every practice.

01

Ownership & clinical control

Identify the owners of the clinical entity, who employs clinicians, who controls medical decisions and how management fees are paid. Ask healthcare counsel to confirm the entity and any professional-ownership or fee-splitting limits before signing agreements.

02

People & procedures

List the person who evaluates, prescribes, performs and supervises each treatment. Verify the actual professional license, restrictions, procedure training and required agreements. A course certificate alone does not establish a legal scope of practice.

03

Premises, devices & products

Check clinic or establishment licensing, local zoning and occupancy, device registration, drug purchasing and storage, and any laboratory or body-art services. Adding a procedure or location can change the applicable requirements.

04

Patient care & opening file

Document consent, assessment, treatment orders, emergency escalation, infection prevention and record access. Assign an owner to every unresolved question and keep the authority supporting the final decision.

Official sources & scope

A source-based planning guide for practice owners, not legal advice or a license approval. The state highlights cover the issues identified below; the workbook helps you resolve additional ownership, scope and facility questions with the relevant boards and qualified counsel. Requirements depend on your services, staff and business structure.

No attorney review is claimed. Report an update.